2023 Virtual Managed Care Compliance Conference

Failing to Prepare = Preparing to Fail: A Three-Phase Approach to Best Position Your Organization for a Successful CMS Program Audit

  • Failing to Prepare = Preparing to Fail: A Three-Phase Approach to Best Position Your Organization for a Successful CMS Program Audit

    Carly Borenkind, Director, Medicare Compliance/Medicare Compliance Officer, EmblemHealth.

    Debra Lightner, Chief Compliance Officer, EmblemHealth.

    2023-01-31

    • Phase 1: Diagnose data-confirm your ability to collect data universes in the required format within strict audit timeframes and analyze data for quality assurance

    • Phase 2: Scour samples-review your audit universes through the eyes of CMS

    • Phase 3: Remediate risks-fix identified non-compliant conditions and prevent recurrence, prepare your staff to explain the issues during audit webinars, and disclose to CMS

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About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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